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  1. Changes in charges and costs associated with hospitalization of patients with mandibular fractures between 1991 and 1993. Discussion.

    Article - En anglais


    The purpose of the study was to examine the changes in costs, charges, and income related to hospitalization of patients with mandibular fractures treated over a 3-year period.

    Patients and Methods 

    The study involved retrospective analysis of data on 97 patients treated by the Department of Oral and Maxillofacial Surgery between 1991 and 1993.

    Biographical data were obtained from the Trauma Registry, and the financial data were obtained from the Financial Services Administration.

    The study examined the changes in costs and charges of hospitalization, insurance status, reimbursement, total revenue, and income losses from hospitalization of patients admitted with a primary diagnosis of mandibular fracture.

    In addition, the study examined the changes in costs of major items involved in treatment.

    Possible variables such as age, gender, and cause of fracture were also recorded.


    Twenty-nine patients were admitted in 1991,35 in 1992, and 33 in 1993.

    These patients were predominantly young males

    The average cost of treatment decreased by 2% in 1992 and increased by 58% in 1993.

    The average charge increased by 12.9% in 1992 and by 76.8% in 1993.

    The total reimbursement increased by 11.2% in 1992 and by 47.7% in 1993.

    The average payment per patient to the institution by third-party payers decreased by 7.8% in 1992 and increased by 56.6% in 1993.

    The loss of income to the institution (cost minus reimbursement) increased by 105. (...)

    Mots-clés Pascal : Fracture, Mandibule, Hospitalisation, Coût, Assurance maladie, Revenu individuel, Paiement, Evolution, Rétrospective, Homme, Virginie, Etats Unis, Amérique du Nord, Amérique, Système ostéoarticulaire pathologie, Stomatologie, Maxillaire pathologie, Traumatisme, Economie santé

    Mots-clés Pascal anglais : Fracture, Mandible, Hospitalization, Costs, Health insurance, Personal income, Payment, Evolution, Retrospective, Human, Virginia, United States, North America, America, Diseases of the osteoarticular system, Stomatology, Maxillary disease, Trauma, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0131857

    Code Inist : 002B25C02. Création : 22/06/1998.